DR. KAREN SUZANNE POTTER (NPI# 1548459944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548459944 |
| Entity Type | Individual |
| Full Name | DR. KAREN SUZANNE POTTER |
| Credential | DDS |
| Practice Address |
665 Camino De Los Mares Suite 204 San Clemente CA 92673-2859 |
| Practice Telephone | 9496619680 |
| Mailing Telephone | 9496619680 |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2010-09-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
56202 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477706976 | Karen Elizabeth Potter | Physical Therapist | 961 E Cherrywine Dr, York, PA 17404-6459 | 2008-10-28 |
| 1780627067 | Karen J Potter | Nurse Practitioner | 301 E Brick St, Ozark, MO 65721 | 2006-06-14 |
| 1073015244 | Karen Potter | Social Worker | 300 1st Ave, Charlestown, MA 02129-3109 | 2018-03-05 |
| 1952704611 | Karen Ann Potter | Pharmacist | 301 Prospect Ave, Syracuse, NY 13203-1807 | 2014-10-08 |
| 1922348192 | Karen Potter | Clinical Nurse Specialist | 101 Fitness Way, Suite 1200, Athens, AL 35611-2492 | 2013-02-25 |
| 1093065476 | Karen Potter | Physical Therapist | 110 Haverhill Rd, Suite 401, Amesbury, MA 01913-2123 | 2012-09-13 |
| 1255455549 | Karen Potter | Social Worker | 9650 Zelzah Ave, Northridge, CA 91325-2003 | 2007-03-19 |
| Street Address |
665 CAMINO DE LOS MARES SUITE 204 |
| City | SAN CLEMENTE |
| State | CA |
| Zip Code | 92673-2859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063419604 | Gabriel Carabulea | Internal Medicine | 665 Camino De Los Mares, Ste 208, San Clemente, CA 92673-2859 | 2005-06-28 |
| 1013250729 | Anesthesia Snooz Inc | Anesthesiology | 665 Camino De Los Mares, #103, San Clemente, CA 92673-2859 | 2013-04-01 |
| 1053573519 | Hitesh K. Patel | Internal Medicine | 665 Camino De Los Mares, Suite 200, San Clemente, CA 92673-2859 | 2008-06-26 |
| 1790945970 | John R Gorny Md Inc | Obstetrics & Gynecology | 665 Camino De Los Mares, 203a, San Clemente, CA 92673-2859 | 2008-06-11 |
| 1699978304 | Theodore Vandam M.d. | Internal Medicine | 665 Camino De Los Mares, Ste 210, San Clemente, CA 92673-2859 | 2007-06-08 |
| 1346457009 | Dena Marie De La Torre | Registered Nurse | 665 Camino De Los Mares, Suite 203a, San Clemente, CA 92673-2859 | 2007-05-16 |
| 1609990209 | William W Martin Phd PC | Psychologist | 665 Camino De Los Mares, Suite 104, San Clemente, CA 92673 | 2007-03-19 |
| 1427189125 | Victor Brady Craig | Pharmacist | 665 Camino De Los Mares, # 101, San Clemente, CA 92673-2859 | 2007-03-07 |
| 1952437261 | Painmd Medical Associates Inc | Pain Medicine | 665 Camino De Los Mares, Suite 202, San Clemente, CA 92673-2859 | 2007-02-23 |
| 1235273327 | Daniel T. Tam, M.d. Inc | Internal Medicine | 665 Camino De Los Mares, Ste 305, San Clemente, CA 92673-2841 | 2007-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497246474 | Cynthia Hull Warren | Nutritionist | 2027 Via Concha, San Clemente, CA 92673 | 2018-05-24 |
| 1063942688 | Trinh T Tran | Pharmacist | 638 Camino De Los Mares #d5, San Clemente, CA 92673 | 2017-06-15 |
| 1427421791 | Jessica A Currens | Nurse Practitioner | 1001 Avenida Pico Ste C517, San Clemente, CA 92673 | 2015-11-08 |
| 1184010647 | Garrett Bryon Rubio | Student in an Organized Health Care Education/Training Program | 905 Calle Amanecer Ste. 265, San Clemente, CA 92673 | 2015-04-11 |
| 1255733853 | Body Mind Spirit Iop Inc | Psychologist | 665 Camino De Los Mares Ste 104, San Clemente, CA 92673 | 2014-09-25 |
| 1548677438 | Jessica Ann Riley | Dermatology | 1300 Avenida Vista Hermosa Ste 150, San Clemente, CA 92673 | 2014-07-13 |
| 1427398718 | Veena Menda | Specialist | 2232 Calle Opalo, San Clemente, CA 92673 | 2013-02-22 |
| 1124383781 | Alexandra Rose Corporation | Substance Abuse Rehabilitation Facility | 4009 Calle Abril, San Clemente, CA 92673 | 2012-07-10 |
| 1457612574 | Noelle J Deckman | Psychologist | 629 Camino De Los Mares Ste 207a, San Clemente, CA 92673 | 2012-06-05 |
| 1851686471 | Meighan Bartholomew Merono | Pharmacist | 990 Avenida Vista Hermosa, San Clemente, CA 92673 | 2011-06-10 |
| Find all providers in zip 92673 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053467175 | Wyatt D. Simons | Dentist | 2710 Camino Capistrano, San Clemente, CA 92672-4802 | 2007-01-25 |
| 1093883274 | Criag R Bergquist | Dentist | 665 Camino De Los Mares #204, San Clemente, CA 92673 | 2006-12-04 |
| 1013577071 | Edalat Dds Inc. | Dentist | 130 Avenida Cabrillo Ste B, San Clemente, CA 92672-5509 | 2019-06-20 |
| 1215412853 | Daniel A. Choi, Dds, Inc. | Dentist | 130 Avenida Cabrillo Ste B, San Clemente, CA 92672-5509 | 2018-09-29 |
| 1942437983 | Asil Dental Group, Inc | Dentist | 390 Camino De Estrella, San Clemente, CA 92672-4859 | 2009-06-17 |
| 1699899211 | Signature Endodontics | Dentist | 2710 Camino Capistrano, San Clemente, CA 92672-4802 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578655 | Pinole Endodontics | Dentist | 2150 Appian Way Ste 207, Pinole, CA 94564-2520 | 2020-11-05 |
| 1518566702 | Sp Endodontics Partnershiop | Dentist | 1300 W Lodi Ave Ste N, Lodi, CA 95242-3038 | 2020-10-20 |
| 1215535661 | Ascella Justine Ronson | Dentist | 35395 Linda Rosea Rd, Temecula, CA 92592-9532 | 2020-10-16 |
| 1457964215 | Lars Bjorn Jonsson, D.d.s., M.s., Inc. | Dentist | 25261 Paseo De Valencia Ste 3, Laguna Hills, CA 92637-4966 | 2020-08-31 |
| 1952929333 | Noureldin Shoreibah Dds Inc | Dentist | 7677 Center Ave Ste 210, Huntington Beach, CA 92647-9103 | 2020-07-11 |
| 1558984799 | Integrative Endodontics, Inc | Dentist | 10850 Wilshine Blvd Ste 301, Los Angeles, CA 90027 | 2020-05-22 |
| 1568091833 | M. Potti Dds Msd Inc | Dentist | 6400 Village Pkwy Ste 100, Dublin, CA 94568-3007 | 2020-04-07 |
| 1194356840 | Liang Dental Group Inc | Dentist | 5562 Philadelphia St Ste 211, Chino, CA 91710-2499 | 2020-01-31 |
| 1699313015 | Paul Erben Dmd Msd PC | Dentist | 937 E Main St Ste 204, Santa Maria, CA 93454-5309 | 2019-12-16 |
| 1396382495 | Narbeh Bandary Dental Corp | Dentist | 4910 Van Nuys Blvd Ste 100, Sherman Oaks, CA 91403-1718 | 2019-12-08 |
| Find all providers with the same taxonomy | ||||
| City | SAN CLEMENTE |
| Zip Code | 92673 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.